1. Evaluation of Baloxavir Marboxil and Peramivir for the Treatment of High Pathogenicity Avian Influenza in Chickens.
- Author
-
Twabela A, Okamatsu M, Matsuno K, Isoda N, and Sakoda Y
- Subjects
- Acids, Carbocyclic therapeutic use, Animals, Antiviral Agents therapeutic use, Dibenzothiepins therapeutic use, Drug Monitoring, Guanidines therapeutic use, Influenza in Birds mortality, Morpholines therapeutic use, Organ Specificity, Pyridones therapeutic use, Time-to-Treatment, Treatment Outcome, Triazines therapeutic use, Virus Shedding, Acids, Carbocyclic pharmacology, Antiviral Agents pharmacology, Chickens virology, Dibenzothiepins pharmacology, Guanidines pharmacology, Influenza A virus drug effects, Influenza in Birds drug therapy, Influenza in Birds virology, Morpholines pharmacology, Pyridones pharmacology, Triazines pharmacology
- Abstract
Control measures in the case of high pathogenicity avian influenza (HPAI) outbreaks in poultry include culling, surveillance, and biosecurity; wild birds in captivity may also be culled, although some rare bird species should be rescued for conservation. In this study, two anti-influenza drugs, baloxavir marboxil (BXM) and peramivir (PR), used in humans, were examined in treating HPAI in birds, using chickens as a model. Chickens were infected with H5N6 HPAI virus and were treated immediately or 24 h from challenge with 20 mg/kg BXM or PR twice a day for five days. As per our findings, BXM significantly reduced virus replication in organs and provided full protection to chickens compared with that induced by PR. In the 24-h-delayed treatment, neither drug completely inhibited virus replication nor ensured the survival of infected chickens. A single administration of 2.5 mg/kg of BXM was determined as the minimum dose required to fully protect chickens from HPAI virus; the concentration of baloxavir acid, the active form of BXM, in chicken blood at this dose was sufficient for a 48 h antiviral effect post-administration. Thus, these data can be a starting point for the use of BXM and PR in treating captive wild birds infected with HPAI virus.
- Published
- 2020
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